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About Skyland Trail

LOCATED IN ATLANTA, Skyland Trail is a nationally recognized nonprofit mental health treatment organization serving adults ages 18 and older with a primary psychiatric diagnosis. Through our residential and day treatment programs, we help our clients grow, recover, and reset to a new normal.

“More than a diagnosis.”

Joint Commission

National Quality Approval

LEARN MORE

866-528-9593

skylandtrail.org

WHO WE TREAT

We’re focused on people with complex mental health issues, helping them understand that they are more than their diagnoses dictate. We treat adults ages 18 and older with a primary mood or thought disorder, including bipolar illness, major depression, and schizophrenia. Many clients have co-occurring substance abuse, borderline personality disorder, or anxiety diagnoses.

DIAGNOSES

AT ADMISSION 2014 43% Major Depression 39% Bipolar Illness 16% Psychotic Disorders 2%

Anxiety Disorders & Other 82% Multiple co-occurring diagnoses

WHOLE PERSON

APPROACH

Our integrated medical, mental, and social model includes a wide variety of therapies and services. A structured but diverse daily schedule helps clients develop strategies to improve mental health, physical wellness, independence, and relationships with family and friends.

COMPLEMENTARY

SERVICES

Vocational Services Primary Care & Wellness

Art & Music Therapy Horticultural Therapy Recreation Therapy Pastoral Counseling Nutrition Counseling LEAP Social Club Cognitive Remediation Therapy

Family Education, Support & Therapy Certified Peer Counselors

NOT ONE-SIZE

FITS ALL

We offer a tailored mix of evidence-based and supportive therapies to help clients reclaim their lives. Clients participate in the development of an individualized treatment plan and are assigned to a specialized treatment team, schedule and peer support group based on their diagnoses, symptoms and self-defined goals.

SPECIALIZED

COMMUNITIES

Cognitive Behavioral Therapy Dialectical Behavior Therapy

Young Adult / First Psychotic Episode Social Integration Dual Diagnosis

(offered as sub-specialty for clients in all communities)

CONTINUUM

OF CARE

We offer a unique continuum of care with deliberate step-downs and reintegration points – from intensive, 24/7 residential care, to job coaching and social opportunities for individuals living in the community.

PROGRAMS

Residential South Residential North Day Treatment Intensive Outpatient Independence Coaching Vocational Services Alumni Program

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Call Today: 866-528-9593 | Learn more online: www.skylandtrail.org

A

DMISSIONS

P

ROCESS

Clients are admitted to Skyland Trail voluntarily, usually upon referral from a psychiatrist, mental health professional, hospital, or managed care

organization. We also accept self and family referrals.

Clients

Our programs treat adults age 18 or older with a primary psychiatric disorder such as major depression, bipolar disorder or schizophrenia. In some cases, the illness is compounded by a substance abuse issue. Client histories include repeated hospitalizations, poor medication compliance, inability to manage school or employment, lack of socialization, and denial of or misunderstanding of the illness.

Initial Review

Our admission staff evaluates clinical information from treatment providers to make an initial determination of fit between the individual’s needs and Skyland Trail programs.

Assessment Interview

An assessment interview is scheduled with the potential client and their family. The interview lasts approximately two hours. All admissions are on a voluntary basis. We also offer mobile assessments at local hospitals.

Admission

Based on the interview and clinical data, our staff determines admission status and appropriate level of care. Each situation is unique, but once a decision is made, accepted clients can potentially begin

treatment within 48 hours.For residential admissions, a list of medications is obtained from the

psychiatrist. Prior to admission, the client must provide documentation of a tuberculosis test within the past year.

Clients admitted into our residential or day treatment programs will receive medication management from a Skyland Trail psychiatrist and individual and group psychotherapy with a Skyland Trail primary counselor. When clients are discharged from services, Skyland Trail will transition care back to the community psychiatrist.

Financial Arrangements

Skyland Trail services are covered by a number of private insurance companies, and we provide consultation regarding financial options. A Financial Aid Program is available for families and clients demonstrating financial need. Medicaid and Medicare do not cover our services.

Contact Us

866-528-9593 skylandtrail.org

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Call Today: 866-528-9593 | Learn more online: www.skylandtrail.org

C

ONTINUUM OF

C

ARE

We offer a unique continuum of care – from intensive, 24/7 residential care, to day treatment, to job coaching and social opportunities for individuals living in the community. Graduated services give our clients opportunities to progress toward recovery and options to step back and take it more slowly if needed. Our continuum also provides multiple points of entry as well as opportunities to learn and practice

reintegration skills after completing more intensive psychiatric treatment.

Residential Treatment

By providing tiered residential services, we support our clients as they gradually return to independent living. Both of our residential communities are licensed by the State of Georgia and are unlocked voluntary facilities. A licensed nurse is onsite 24/7 at the North and South campuses.

Most residential clients will begin at South, where we offer our most intensive level of support, then transfer to North as they progress toward their recovery goals. Residential clients come to our main campus for psychiatric and therapeutic activities weekdays, 9:00 a.m. to 3:00 p.m.

Day Treatment and Intensive Outpatient Programs

Our non-residential Day Treatment and Intensive Outpatient Programs may be appropriate as a step down level of care for residential clients or as a point of entry for individuals who are not currently experiencing psychotic symptoms and who have been participating in less intensive outpatient therapy unsuccessfully.

Independence Coaching

Independence coaching provides supervision and support to clients living independently in the

community. This service may include: in-home visits by a case manager; 24-hour emergency on-call care; group therapy; assistance with goal setting, and treatment plan implementation.

Vocational Services

Our Vocational Services Program supports adults who want to pursue employment, volunteer positions, and internships or continue their education. The program includes opportunities for vocational

counseling, work adjustment and supported employment and is open to current clients or as a stand-alone program.

Life Enrichment Adult Program (LEAP)

LEAP offers a variety of opportunities for individuals who feel ready to seek new friendships, learn new skills, and cultivate hobbies and interests. LEAP engages clients in activities such as the arts, recreation, exercise, special events, support groups, and community participation. LEAP is open to current clients or as a stand-alone program.

For more information:

Skyland Trail Admissions Office Tel: 866-528-9593

Fax: 404-315-0105 www.skylandtrail.org

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C

ontinuum

of

C

are

: H

ow

it

w

orks

FOR CLIENTS ENTERING RESIDENTIAL TREATMENT

the total average length of treatment is 4 to 6 months, with a minimum of 8 weeks. Clients typically admit to Skyland Trail South and transition to less intensive levels of care as their symptoms and skills improve.

Residential Treatment at Skyland Trail South (avg. 4 to 6 weeks) 24/7 care, therapeutic activities 9:00 a.m.3:00 p.m.

Residential Treatment at Skyland Trail North (avg. 6 to 10 weeks) 24/7 care, therapeutic activities 9:00 a.m.3:00 p.m.

Day Treatment 5 days a week (avg. 6 to 8 weeks) therapeutic activities 10:00 a.m.4:00 p.m.

Available add-on programs: LEAP and Independence Coaching

Intensive Outpatient Treatment 5 days a week (avg. 8 to 12 weeks) therapeutic activities 11:00 a.m.3:00 p.m.

Available add-on programs: LEAP and Independence Coaching

Independence Coaching (avg. 12 weeks) weekly in-home visits and coaching

Available add-on programs: LEAP and Vocational Services

FOR CLIENTS ENTERING DAY TREATMENT

the total average length of treatment is 2 to 6 months, with a minimum of 8 weeks. Clients typically begin with Day Treatment 5 days a week and transition to less intensive levels of care as their symptoms and skills improve.

Day Treatment 5 days a week (avg. 6 to 8 weeks) therapeutic activities 10:00 a.m.4:00 p.m.

Available add-on programs: LEAP and Independence Coaching

Intensive Outpatient Treatment 5 days a week (avg. 8 to 12 weeks) therapeutic activities 11:00 a.m.3:00 p.m.

Available add-on programs: LEAP and Independence Coaching

Independence Coaching (avg. 12 weeks) weekly in-home visits and coaching

Available add-on programs: LEAP and Vocational Services

AFTER CLIENTS COMPLETE INTENSIVE TREATMENT

,they may continue to benefit from the following as stand-alone programs.

Offering Hope, Changing Lives

Wellness Clinic Family Therapy Alumni Program Independence Coaching

Life Enrichment Adult Program (LEAP) Vocational Services & Supported Employment

TOTAL AVERAGE LENGTH OF TREATMENT

4-6 months

TOTAL AVERAGE LENGTH OF TREATMENT

2-6 months

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PASTORAL COUNSELING

Accepting individuals from any background of belief or non-belief, the voluntary program helps clients find spiritual practices that aid their recovery. Our pastoral counselor also provides support in the areas of grief, ethics, trauma, and body image concerns.

PRIMARY CARE,

WELLNESS & NUTRITION Skyland Trail is one of the first and few organizations to integrate medical care into mental health treatment. Our onsite wellness clinic is

staffed by medical professionals with expertise in addressing the physical health needs of patients with mental illness. Outside of the clinic, healthy living education is an essential component of each patient’s treatment plan. Throughout treatment, primary care clinicians treat medical concerns, screen for substance abuse, and coordinate laboratory and other medical procedures for all clients.

Clients also meet individually with our licensed dietician to work toward wellness goals. The dietician leads cooking classes and other hands-on group activities to teach healthy living skills.

W

hole

P

erson

A

PProAch

Offering Hope, Changing Lives

Our integrated medical, mental, and social model includes a wide variety of therapies and services. A structured but diverse daily schedule helps clients develop strategies to improve mental health, physical wellness, independence, and relationships with family and friends. And each client receives help and guidance from a multidisciplinary team of caring experts.

ART, MUSIC,

HORTICULTURAL, & RECREATION THERAPY

Led by caring professionals who are experts in their fields,

group sessions help clients find new ways to express their

thoughts and emotions, learn new skills, build confidence, and interact with their peers and the community.

VOCATIONAL SERVICES Our Vocational Services Program supports adults who want to pursue

employment, volunteer, or continue their education.

The program includes opportunities for vocational counseling, work adjustment, and supported employment and is open to current

clients or as a stand-alone program.

COGNITIVE

ENHANCEMENT THERAPY

Sophisticated computer-based exercises lead clients through intellectual tasks that gradually become more challenging as their skills improve. When used as indicated, clients not only experience a positive

reversal of cognitive loss but also have improved insight and higher cognitive ability.

CERTIFIED PEER

SPECIALISTS

A Certified Peer Specialist is someone in recovery from mental illness who has received specialized training to provide peer support to others currently in the recovery process. Our certified peer specialists apply their unique perspective and training to help clients with motivation and engagement,

skill building, and problem solving.

LIFE ENRICHMENT

ADULT PROGRAM (LEAP)

LEAP activities take place on evenings and weekends and include cooking classes, art projects, group fitness and recreation, pet therapy, and special outings to sporting events, restaurants and museums. Our licensed counselors

organize and lead LEAP activities and help clients address their social anxieties through experiential learning.

FAMILY THERAPY

Available as an add-on service to our residential, day treatment, and IOP programs, family therapy examines family roles and expectations and works toward making adjustments to help each family member sustain their own health while supporting one another.

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S

pecialized

R

ecoveRy

c

ommunitieS

Offering Hope, Changing Lives

We’re not a “one size fits all” program.

Each client is assigned to one of four specialized recovery communities and a “core group” within that community. Each core group is a primary support system of 10 to 15 clients with similar diagnoses and is led by a specialized counselor. Each client also receives individualized, one-on-one support from a primary counselor and psychiatrist who focus specifically on clients in that recovery community. Clients may transition from one recovery community to another based on goals, clinical presentation, and achievement.

Cognitive Behavioral Therapy (CBT)

TREATSindividuals with mood or anxiety disorders

GOALS Identify cognitive distortions and faulty thinking, restructure negative thought patterns, and identify cues and triggers. Address behavioral patterns that impact mood by practicing healthy routines that support positive mood and physical health.

Dialectical Behavior Therapy (DBT)

TREATS individuals with emotion disregulation, especially those with co-occurring borderline personality disorder

GOALS Acquire skills of core mindfulness, interpersonal effectiveness, emotion regulation, and distress tolerance. Practice managing stressful experiences by using healthy skills and without engaging in destructive behaviors that have developed into habits over time.

Young Adult / First Psychotic Episode

TREATS individuals ages 18 to 25 with a thought or mood disorder with psychotic features, first episode of psychosis

GOALS In addition to goals specific to their mental illness, clients work with peers to take responsibility for their

problems, learn new coping skills and develop greater confidence in moving toward adulthood. Often young adult clients set goals related to returning to school or to work.

Social Integration

TREATS individuals with ongoing psychosis focusing on functional recovery and community reintegration

GOALS Enhance individual life skills, help discover community resources and social venues outside of treatment, and gain experiential practice through real life activities within the community.

Dual Diagnosis (available as a sub-specialty to clients in all of the above communities)

TREATS individuals with a co-occurring substance abuse diagnosis in addition to their primary psychiatric diagnosis

GOALS Increase awareness of addiction issues, reduce cravings, develop coping skills and acquire tools to prevent relapse. Practice living a sober, healthy life that includes personally and socially meaningful activities.

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Call Today: 866-528-9593 | Learn more online: www.skylandtrail.org

D

AILY

S

CHEDULE

All Skyland Trail clients come to the Health and Education Center on our main campus for psychiatric services and therapy sessions. We offer more than 100 group therapy sessions each week, including therapeutic, educational and adjunctive group sessions. Clients receive a weekly schedule of individual and group sessions designed to help them achieve their recovery goals. Each client has a one-on-one session with a psychiatrist and an individual session with his or her primary counselor at least once each week, or more if needed.

Residential clients participate in treatment activities from 9:00 a.m. to 3:00 p.m.; Day Treatment clients participate from 10:00 a.m. to 4:00 p.m.; and Intensive Outpatient clients participate from 11:00 a.m. to 3:00 p.m.

Sample Residential Schedule

Monday Tuesday Wednesday Thursday Friday

9 am • Meditation • Exercise 9 am • Meditation • Exercise 9 am • Verbal Check-In • Exercise 9 am • Meditation • Exercise 9 am • Verbal Check-In • Exercise 10 am • Nature therapy • Return to School (vocational) • DBT Skills • Yoga 10 am • Product Art • Support Group • Acts of Service 10 am • Music therapy • Reality Testing • Life Skills • Leisure Skills 10 am • Woodshop • Humanitarians • Stages of Change • Weight Training 10 am • Ceramic Studio • Accepting Professionalism • Finding Balance 11 am • Volleyball • Anxiety Mgmt • Anger & Acceptance • Work Adjustment • NABA Meeting 11 am • Product Art • New Client Orientation • Co-Dependence • CBT for Addiction • CRT (referral only) 11 am • Community Meeting 11 am • Woodshop • Healthy Cooking • Spirituality • Self-Esteem • CBT for 12-Steps • CRT (referral only) 11 am • Ceramic Studio • Healthy Relationships • Nature therapy • Work Adjustment • 12-Step Study

12-1Lunch 12-1Lunch 12-1Lunch 12-1Lunch 12-1Lunch

1 pm • Depression, Insight & Recovery • ACT on Recovery • Creative Expression 1 pm • CBT Workshop • Spirituality • Relapse Prevention 1 pm • Dual Recovery • Social Assertiveness • Mindfulness 1 pm • Process Art • Family Empowerment • Exploring 12 Steps 1 pm • DBT Skills • Team Sports 2 pm Core Group (Based on Recovery Community: DBT, CBT, Dual Diagnosis, Young Adult, Social Integration) 2 pm Core Group (Based on Recovery Community: DBT, CBT, Dual Diagnosis, Young Adult, Social Integration) 2 pm Core Group (Based on Recovery Community: DBT, CBT, Dual Diagnosis, Young Adult, Social Integration) 2 pm Core Group (Based on Recovery Community: DBT, CBT, Dual Diagnosis, Young Adult, Social Integration) 2 pm Core Group (Based on Recovery Community: DBT, CBT, Dual Diagnosis, Young Adult, Social Integration)

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E

ACH WEEK

:

I

NDIVIDUAL

S

ESSIONS

&

G

ROUPS

Individual Sessions

Each client has a one-on-one session with a psychiatrist and an individual session with his or her primary counselor once each week.

Core Group

Clients attend a core group session daily with a consistent group of 10-15 peer clients from their recovery community. The core group session is led by the primary counselor for that recovery community, often with support from other counselors with appropriate specialized expertise.

Complementary Groups

In addition to one-on-one sessions and core group,

clients attend a variety of groups throughout the

week. Multiple groups take place each hour, and

primary counselors assign clients to groups based on

their symptoms and goals. Types of groups include:

SKILL BUILDING:

Groups designed to teach skills needed to live as successfully as possible within and outside of the Skyland Trail community. Examples include, Healthy Living Skills, DBT and CBT Skills Training, Targeting Career Success, Going/Returning to School, Creating Satisfaction Through Leisure, Weekly Wellness Checks

PSYCHO-EDUCATION:

Clients also participate in classroom-style educational sessions to learn more about their illness and how they can apply coping strategies and skills that are proven to be effective. Examples include, Stress Management; Relapse Prevention; Assertiveness Coaching; Avoiding Crisis in Recovery; Mind Your Stress; Depression, Insight and Recovery; Anxiety Management

PROCESS/SUPPORT:

Traditional peer support groups of clients who identify with one another because of similar challenges. Examples include, Seeking Healthy Relationships, Family Empowerment, Dual Recovery Anonymous, Loss and Grief, Men’s group, Women’s group.

RECREATIONAL, ADJUNCTIVE AND PASTORAL THERAPY SESSIONS:

These therapies – including art, music, horticulture, and recreation – encourage client engagement in the overall treatment program and give clients opportunities to express themselves and practice the skills they are learning in their individual and core group sessions. Examples include Product and Process Art Therapy, Harmony Through Music, Horticultural Therapy, Circuit/Weight Training, Volleyball, Woodshop, Ceramics, Creative Writing and Yoga. In addition, our Pastoral Counseling services help clients connect to spiritual resources for recovery and address issues related to grief, trauma, ethics, and body image.

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Call Today: 866-528-9593 | Learn more online: www.skylandtrail.org

F

AMILY

S

ERVICES

Family Orientation

Family Orientation is designed to provide the families of our new admissions practical

information about the process and experience of recovery. Families of Skyland Trail clients are strongly encouraged to attend this one-day seminar, which is appropriate for all caregivers.

Family Orientation is typically held the last Friday of each month from 8:15 a.m. to 4:00 p.m.

Online: www.skylandtrail.org/orientation

Support, Training and Education Program (STEP)

STEP education and support group provides family members with the knowledge, skills and support needed to cope effectively with the unique challenges associated with caring for someone with a mental illness. During the first hour, a mental health professional provides education and training to the group. The second hour is a support group in which families discuss what they have learned, dilemmas they confront or feelings they experience. Family STEP meets on Tuesdays from 6:30 to 8:30 p.m. at the Health and Education Center on the main campus of Skyland Trail. Families may also join by phone or video conference.

STEP is open to any caregiver or family member engaged with an individual with mental illness. You do not have to be affiliated with a Skyland Trail client to participate.

Online: 1Twww.skylandtrail.org/STEP

Family Therapy

Family therapy is the opportunity for the family system to make essential adjustments that will help sustain a client’s recovery. Working with our family psychologist, the family can start to resolve issues that have become complicated while managing the overwhelming impact of mental illness. Families also find ways to adjust to support every family member’s health.

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STEP:

F

AMILY

S

UPPORT

&

E

DUCATION

WHEN

Every Tuesday, 6:30 to 8:30 p.m.

Families are welcome to join at any time during the series.

WHERE

Health and Education Center (upstairs conference room) Skyland Trail Main Campus

1903 North Druid Hills RD NE, Atlanta, GA 30319

JOIN BY PHONE OR VIDEO CONFERENCE

Visit www.skylandtrail.org/support-groups

for instructions, or contact Shelley Danser at sdanser@skylandtrail.org or 678-686-5956

EXAMPLE TOPICS:

Guardianship: Decision making for Incapacitated Adults: An expert attorney will

discuss various options under Georgia law including powers of attorney, statutory provisions, and guardianship code.

Meet & Greet with Skyland Trail Staff: Come by and enjoy refreshments while meeting the Skyland Trail Team.

More than the Blues: Understanding mood disorders: Differentiate the symptoms

of depressive and bipolar illnesses and appreciate the comorbidities and prevalence of mood disorders.

Dialectical Behavior Therapy (DBT): Participants will become familiar with DBT terminology and the four skills modules.

Conflict Resolution – Dealing with Anger Better.

Primary Care at Skyland Trail. Learn about the importance of primary care and how Skyland Trail joins the two together to improve the recovery, health, and functioning of our clients.

NAMI's Family-to-Family Program and National Education Alliance for

Borderline Personality Disorder (NEA-BPD) Family Connections Program. The presentation will provide an overview of programs. Learn how these educational programs can help families’ better cope with their loved one's mental illness as well as foster more positive, loving relationships between family members.

(11)

Young adults ages 18 to 26 represent 50 percent of Skyland Trail

clients. Symptoms of bipolar illness, major depressive disorder,

and schizophrenia often appear during this developmental

period, and can be intensified by major life changes like going to

college, or experimenting with drugs or alcohol.

Young adults face a gap in the system. While too old for child

and adolescent programs, they may struggle with adolescent

thought and behavior patterns and need specialized support to

transition to adulthood.

Since 2007, the Skyland Trail Young Adult Program has filled

this gap, helping adults in their late teens and early 20s learn to

manage their illnesses, identify their strengths and work toward

positive, productive futures.

The program leverages young adult interests and learning

styles – fostering healthy social interactions, inviting family

involvement, and promoting wellness through sports and

recreation. Professionals with expertise in motivating young

adults encourage medication adherance and sobriety, and help

prevent long-term cognitve impairment through computer-based

Cognitive Remediation Therapy.

Changing how Brandon

sees his diagnosis

and his future.

Coming Soon: A Specialized Young Adult Campus

A 3.5 acre property adjacent to the existing main campus will

become home to a new Young Adult Campus. A 24,000 square

foot facility will include a 32-bed residential wing; community,

recreation and dining areas; gardens; and treatment spaces.

“I have seen dramatic changes in my mood and my outlook on life and the future. My attitude is much more positive and I’m a lot less irritable. At first I didn’t think it would work, but attending Skyland Trail really saved me.”

MUCH LIKE GOING TO

COLLEGE,

clients in our

Young Adult

Program learn

and practice

the skills

they need to

successfully

pursue their goals for a

fulfilling future.

50%

50 percent of our clients are young adults ages 18 to 26.

Y

oung

A

dults

& C

ollege

s

tudents

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SKYLAND TRAIL IS A TRAILBLAZER IN THE AREA OF OUTCOMES RESEARCH. Our robust outcomes and research program employs evaluative instruments considered to be the gold standard in the mental health field to measure the effectiveness of our treatment programs. Here are a few highlights from our 2014 Treat-ment Outcomes.

92

%

of all clients experienced a statistically significant improvement in their attitude toward activities of daily living & overall functioning1

68

%

of clients with a primary psychotic disorder experienced a statistically significant improvement in symptoms of psychosis1

86

%

of all clients experienced a statistically significant improvement in feelings of hopelessness2

71

%

of clients with substance misuse experienced a statistically significant improvement in impulsive or addictive behaviors1

68

%

of all clients experienced a statistically significant improvement in attitudes towards medication adherence3

80

%

of clients who are depressed experience statistically significant improvement5

100

%

of patients with mania broke their mania while in treatment6

90

%

of clients with anxiety experience statistically significant improvement in control of anxiety7

76

%

of clients with thought disorders experience statistically significant improvement in symptoms of psychosis4

1 Results are significant at the p<.05 significance level. The 32-item Behavior and Symptom Identification Scale (BASIS-32): © Copyright McLean University, Affiliate of Harvard Medical School. 2 Results are statisti-cally significant at the p<.05 significance level. Beck Hopelessness Scale: Beck AT, Weissman A, Lester D, Trexler L. (1074). The measurement of pessimism: The Hopelessness Scale. Journal of Consulting and Clinical Psy-chology, 42(6), 861-865. 3 Results are statistically significant at the P<.05 significance level. Medication Attitude Inventory: Hogan TP, Awad AG, & Eastwood R. (1983). A self-report scale predictive of drug compliance in schizophrenics: reliability and discriminative validity. Psychological Medicine, 13, 177-183. 4 Overall JE, Gorham DR. The Brief Psychiatric Rating Scale. Psychological Reports. 1962; 10:799-812. 5 Montgomery, S.A. & Åsberg, M. (1979). A new depression scale designed to be sensitive to change. British Journal of Psychiatry, 134, 382-389. 6 Young RC, Biggs JT, Ziegler VE, Meyer DA: A rating scale for mania: reliability, validity and sensitivity. British Journal of Psychiatry, 133:429-435, 1978. 7 Hamilton M: The assessment of anxiety states by rating. British Journal of Medical Psychology, 32:50-55,1959.

2014 T

reaTmenT

O

uTcOmes

In 2014, measured outcomes continued to demonstrate that our clients experience significantly reduced symptoms and improved quality of life as a result of engaging in our treatment programs. We are proud of these results and proud of our clients. These outcomes are particularly meaningful given that, in 2014, 82 percent of our clients had three or more co-occurring diagnoses, which can make recovery more challenging.

Skyland Trail has developed a national reputation as a place where people with complex diagnoses and treatment histories can change their lives for the better. Our evidence-based, individualized treatment program ensures that each client is matched with the right combination of therapeutic activities to meet his or her needs. Further, our whole-person approach goes beyond a clinical diagnosis and helps our clients make changes in all areas of their lives – from relationships and social interactions to work and community-based activities.

CLIENT COMMUNITY

Diagnoses Confirmed at Admission

43% Major depression 39% Bipolar illness 16% Psychotic disorders >1% Anxiety disorders <1% Other

Gender

48% Male 52% Female

Average Length of Stay

4-6

months

Offering Hope, Changing Lives

Age at Admission

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Call Today: 866-528-9593 | Learn more online: www.skylandtrail.org

F

INANCIAL

I

NFORMATION

&

F

EES

Financial Information

Skyland Trail offers individualized treatment programs to address the special needs of each client in their recovery from mental illness. Treatment plans vary in length according to individual needs. The severity of symptoms and number of days to complete treatment will affect the total cost of the program. Because every client and situation is unique, Skyland Trail provides up-front financial counseling for each client and family.

Skyland Trail accepts payment with Visa, MasterCard, Discover, and American Express as well as personal checks. Although we do not accept Medicare or Medicaid, we do offer a financial aid program for clients and families who meet need-based financial criteria. Additionally, we offer financing options for families and clients through a third party vendor, Clark Behavioral Health Financing.

Insurance Information

Skyland Trail is in network with several Managed Care Organizations: Aetna, Blue Cross Blue Shield, Cameron & Associates, Cigna, Coventry, Magellan, United Behavioral Health, and Value Options. We work with most major insurance companies whether Skyland Trail is in or out of the company's network. Skyland Trail routinely helps verify insurance benefits and works to facilitate

reimbursement from insurance companies but we cannot guarantee the outcome of our best efforts. Skyland Trail encourages all clients, families, and guarantors to contact their insurance company and human resource departments (if appropriate) prior to admission to learn about specific benefit coverage and criteria for medical necessity.

Engagement Incentive Program

A client's individual engagement in their treatment is vital to their success. Skyland Trail is pleased to provide a unique Engagement Incentive Program, which provides financial discounts as clients continue to actively engage in their treatment. This innovative program is incorporated into our billing program and offers a reduction in fees to clients who are evaluated by their clinical team. Clients who meet the criteria will receive 5 percent off the following month's billing statement. The monthly 5 percent discount continues as long the client continues to meet engagement criteria. The Engagement Incentive Program only applies to the self pay portion of a client’s account. Clients who are using health insurance must pay the co-insurance or co-pays required by their insurance plan.

Financial Aid Program

Through the generosity of Skyland Trail donors and friends we offer a Financial Aid Program to assist clients and families who meet the need-based financial criteria. The application process consists of a financial aid application and a personal financial statement from the guarantor(s) – those who guarantee payment of the treatment fees – as well as submission of the guarantor’s tax returns from the previous three years. After a thorough review, financial aid awards are granted by a board committee to offset a portion of the program fees.

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Call Today: 866-528-9593 | Learn more online: www.skylandtrail.org Fees

Skyland Trail’s recommended treatment varies in length, according to the individual client needs and the program. The severity of a client’s symptoms and the time needed to complete the recovery plan will inevitably affect the total cost of treatment.

We encourage clients to participate in treatment for the recommended length of stay, which varies by diagnosis, to provide adequate time to develop and implement the customized treatment plan and make desired progress toward treatment goals. Depending on the client’s recovery track, which is determined as part of the admissions process, the length of stay will vary within each program and is based on the individual client’s progress.

Admitting Program Costs 2015

Adult Residential Program $24,000/month

(includes room and boarding at the residential

facilities, meals, transportation between facilities,

treatment services and social integration activities)

Day Treatment (Partial Hospitalization) $8,600/month

Intensive Outpatient Program (IOP) $6,000/month

Vocational Services Program $500/month

Independence Coaching Program $2,300/month - $500/month

(depending on level)

Life Enrichment Adult Program (LEAP) $510/month

Recommended Length of Stay

Residential Stay with Step-down 4 to 6 months, 8 week minimum Enrollment in a residential program with progressive step-down to PHP and IOP services as appropriate based on individual client achievements.

Non-Residential Stay 2 to 6 months, 8 week minimum

Enrollment in PHP and IOP services as appropriate based on individual client needs and achievements.

For more information, contact: Skyland Trail Admissions Office Tel: 866-528-9593

Fax: 404-315-0105 www.skylandtrail.org

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Children’s Choir I Thank You, Lord SATB It Is Well with My Soul SATB Joy in the Morning SATB A Jubilant Song SATB Lamb of God SATB Leaning on the Everlasting Arms SATB Lord of the

• Established offshore claims processing center for claim notification &amp; recovery processing • Implemented consistent organization, team &amp; job structures,

A.) Propriety. The social worker should maintain high standards of personal conduct in the capacity or identity as social worker. B.) Competence and Professional Development.

• Develop the 2045 Goals, Objectives, Policies, and Performance Measures Report, • Assist TPO staff in applying Evaluation Criteria to rank Needs Plan projects, • Prepare

brands’ ç (reciprocal) è stakeholders’ identity co-creation Interdependent- oriented brand, consumer, &amp; stakeholder co-creation contexts (mainly in cultures with dominant